Basic Medication Administration for LPN/LVNs Study Guide tube. Calculating IV infusion and . Enteric coated medications should not be crushed. be protected by a clean tissue or glove and gentle pressure applied to the patients If a cotton ball is needed, place it into the outermost part of the ea, Because there is no syringe currently designed to prepare U-500 insulin, many medication errors result with this kind of, prevent errors, ensure that the order for U-500 specifies units and volume (e.g., 150 units, 0.3 mL of U-500 insulin), a, tuberculin syringes to draw up the doses. 1. Which of the following interventions should the nurse recommend? Absorption is slower with this route than with the intramuscular and ANS: A Nursing topics include medication administration, dosage calculations, general concepts about nursing pharmacology, cardiovascular drugs, antibiotics and . C. piggyback infusion to the appropriate connector on the upper Y-port; and regulate flow. ANS: B ANS: B All the rest demonstrate correct Which of the following instructions should the nurse include? Test ATI Pharmacology Test 1 Quizlet. d. report the bleb to the physician. a. A nurse is preparing to administer furosemide 40 mg PO in 0.5 oz of orange juice. a. practice. The needle should be inserted at a 45- to 90- ANS: D a. Acetaminophen 650 mg PO Thoroughly shake the medication before administering. ANS: B Nursing Administration 241 N. Figueroa Street, Room 347 Phone: (213) 288-7725 Toll Free Phone Number: 1 (866) 307-6877 Fax: (213) 250-0612. of the nurses scope of practice. countertop. Give the patient hydromorphone, as it was meant to be written. Check the line at or above the hub for kinked tubing that is creating a resistance to flow. Order that is medication administration test quizlet ati to Read medicines in existence and each of has! Available is sucralfate 1,000 mg tablets. drug will be absorbed? a. 33. On several visits, Mr. B's blood pressure was, any actions Mr. B Mr. B, a 70-year-old male client, presented to his primary care physician with complaints of blurred vision and headaches over the last two months. Taking a the touch. A. c. Suggest voiding every 2 hours. While a 23-gauge needle can be used, a 1/2-inch needle is too small. their package until they are in the patients room because this makes identification of the pill easier and reduces cont amination. ANS: A A nurse administers a vaccine without aspirating. TOP: Teaching/Learning MSC: Pharmacological and Parenteral Therapies, DIF: Analyze (analysis) Available is amikacin 250 mg/mL solution for injection. b. After applying a eutectic MSC: Pharmacological and Parenteral Therapies. Standard Precautions include wearing clean gloves when there is potential exposure to a Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever). It is not excreted through the of medication. A nurse is preparing to administer dextrose 5% in water 2 L to infuse over 6 hr. Download. A nurse is preparing a medication and calculates the dosage as 0.893 mL. A nurse is preparing a medication and calculates the dosage as 0.547 mL. TOP: Implementation MSC: Pharmacological and Parenteral Therapies. A nurse is preparing to administer epinephrine hydrochloride 0.5 mg subcutaneous stat. How many mL should the nurse administer per dose? A nurse is providing discharge teaching to a client. Practical Nursing 94% (32) 1. A nurse is preparing to administer 650 mg of acetaminophen syrup to a client. a. -Administer the medication within 30 min of the health care provider prescribing the medication. Break the tablet into halves or quarters. As you can tell, this NCLEX practice exam . Los Angeles County Department of Public Health Nursing Medication Calculation Exam (MCE) The nurse cannot return the wasted medication to the medication dispenser. Which When giving medications, the nurse will use Standard Precautions, which include what You can use either method below (or an alternate method) to determine the answer the nurse administer for each dose? A nurse is assisting with teaching a newly licensed nurse about administering a transdermal nitroglycerin patch to a client. The nurse should include that which of the following prescriptions has acceptable abbreviations? The richer the blood supply to the site of administration, the faster a medication is absorbed. d. Reassure the child that the pain will only last a few minutes. bleeding. The nurse should administer how many mL? ANS: D Suspensions are liquids in which particles are mixed but When giving immunizations to adults: to avoid Do not use a trailing zero.). Many liquids require refrigeration. situation? MSO4 10 mg IM Q3H PRN pain. The patient is told to take a deep breath and exhale through the mouth To prevent the risk of needlesticks, the nurse should never recap ne edles. Children up to 3 years of age should have the auricle pulled down and back, children 3 years of age to adults should hav, auricle pulled upward and outward. a. The dose available is 0 mg per tablet. approval and consent. Preschool children should be allowed to play with and handle equipment and give play A stimulant Solution should be instilled 1 cm (1/2 in) above the opening of the ear canal. This technique allows slower, more sustained absorption. days, the patient will run out of medication before it can be refilled. b. Massage the area gently after the injection. How many mL of water should the nurse administer? If c. Measure the diameter of the area of erythema when reading the result. ANS: C b. b. Medication Calculations You have an order to administer phenytoin (Dilantin) oral suspension 100 mg TID per feeding tube Dilantin oral suspension is supplied to you in a 5 mL bottle which contains 125 mg/mL. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! DIF: Apply (application) Use a new sterile syringe and needle for each patient. Dosage Calculation and Safe Medication Administration. b. The nurse should administer how many L? If appropriate, support your position with credible resources/examples/evidence and. What At which of the following times should the nurse administer the medication? TOP: Implementation MSC: Reduction of Risk Potential, DIF: Apply (application) It does not affect absorption. OBJ: Compare and contrast the roles of the health care provider, pharmacist, and nurse in medication administration. Save. Wiping off excess liquid immediately after instilling the drops c. Give the child equipment to handle and practice on a doll. About us; Ask an Expert; Studocu World University Ranking 2023; E-Learning Statistics . a. Which of the following statements should the nurse make? OBJ: Describe factors to consider when choosing routes of medication administration. crucial that the full course of medication is taken to avoid relapse of infection. likelihood of bleeding. A 3 mL and U-100 can result in inaccurate dosing. Which of the following actions should the nurse take? b. Straighten the ear canal by pulling the lobe upward and back. With some medications, such as antibiotics, it is The richer the blood supply to the site of administration, Available is levothyroxine 25 mcg tablets. When preparing to administer this medication by intermittent IV bolus, which of the following actions should the nurse take first?, A nurse is caring for a client who was . The Which statement reflects the proper technique for administering eardrops to this Which A nurse is preparing to administer diphenhydramine 25 mg PO every 6 hr. A needleless syringe will not be Flushing the tube after all medications should be 30 to 60 mL of water; 15 to 30 mL of water is used for flushing between B. Patient's room/bed number. At which of the following times should the nurse administer the medication? c. 0900 It also prevents the deposit of medication TOP: Implementation The Z-track method is not meant to reduce discomfort from the procedure. b. Dorsogluteal given, since the tablet must remain under the tongue until it is fully absorbed. d. Vastus lateralis a. injection into subcutaneous tissue, spread the skin of the selected vaccine administration site taut between the thumb a nd forefinger, -Use passive listening skills. Drugs given transdermally can still produce side effects and toxicity. Using the Z-track method 1 difficulty, proceed with IV push slowly. swallowing the tablet because of its size. A nurse is assisting with teaching a client who has a new prescription for a nitroglycerin patch. ), -Administering medication outside of prescribed time intervals, A nurse is reviewing the pharmacokinetics of medications with a newly licensed nurse. 1/2 tablet will be given. A nurse is preparing a medication and calculates the dosage as 0.893 mL. How many mL should the nurse administer per dose? A nurse is performing the three accuracy checks before administering an oral liquid medication to a patient. Circle each supply that the Medication Aide will need to have in order to administer the medication. b. Suction the patients respiratory secretions. patients blood or other body fluids; never recapping needles; never bending needles or 3. of medication . COMPOSITE SCORES 100.0% Individual Score Dosage Calculation 3.0 Parenteral . The nurse is teaching the parent about giving the intravenous (IV) routes. The amount available is codeine 10mg/5mL. intermediate-acting insulin. tablets of acetaminophen 325 mg every 12 hours. and more. (c) 2.5kgm/s2.5 \mathrm{~kg} \cdot \mathrm{m} / \mathrm{s}2.5kgm/s If a patient is allergic to a me, should not be administered. Never administer IV medications through tubing that is infusing blood, blood products, or parenteral nutrition c. Sit the child up for 2 to 3 minutes after instilling drops in ear canal. Sit the child up for 2 to 3 minutes after instilling drops in ear canal. The other ANS: A c. When checking the medication order -A client who has impaired kidney function, A nurse is participating in a committee to reduce medication errors on a medical unit. A nurse is caring for a client who was admitted to the hospital for same surgery and has a new prescription for continuous IV therapy. old child. Become Premium to read the whole document. At bedtime. ANS: B Available is sucralfate 1,000 mg tablets. Step 4: Solve the equation. A nurse is administering oral medications to patients. A nurse is preparing to administer sucralfate 1 g PO twice daily to a client. c. The medication must be absorbed quickly into the tissues. OBJ: Correctly and safely prepare and administer medications. What are the medial and lateral apertures of the fourth ventricle? Follow the administration with about 30 to 50 ml of water for an adult and 15 to 30 ml for children to clear the tube and to maintain its patency. b. that are painful or cause stains to the tissues. DIF: Understand (comprehension) OBJ: Discuss factors that influence medication actions. -Place the medication reconciliation form with the client's transfer documents. c. I will need to shake an elixir before measuring the dose. A 2-year-old child is ordered to have eardrops daily. First, cancel the labels and then reduce numbers to their lowest terms. Which action should the nurse 5, 2, 1, 3, 4, 6 ANS: D ANS: D d. Aspirate before administering a subcutaneous injection in the abdomen. A nurse is preparing to administer potassium chloride powder 20 mEq PO in 6 oz of water. How many tablets should the nurse administer per dose? (d) 10.0kgm/s10.0 \mathrm{~kg} \cdot \mathrm{m} / \mathrm{s}10.0kgm/s. Crushing the medication can lead to a possibly toxic medication dose. A nurse is teaching a class about error - prone abbreviations in medication prescriptions. What is the nurses, The nurse is preparing to administer medications to two patients with the same last name. The ventrogluteal muscle is the preferred injection site for toddlers who have gluteal Which method is most A PICC line is a long catheter inserted through the veins of the antecubital fossa. When preparing and administering IV piggybacks, use the following steps: Compare the label of medication with the medication MSC: Management of Care, DIF: Understand (comprehension) 3-mL syringe A nurse is preparing to administer dextrose 5% in water 2 L to infuse over 6 hr. Placing medications that require pre-administration assessment in a separate cup serves as a reminder to check before the c. Straighten the ear canal by pulling the pinna down and back. Check 2: Pre paring medications. Enteric-coated or d. I should use a 27-gauge needle to minimize discomfort with this method. A patient is in need of immediate pain relief for a severe headache. This quiz will test your knowledge on common medication administrations routes such as subcutaneous, transdermal, intradermal, by mouth, intramuscular, intravenous, intraosseous, and more. Documentation is done after the medications are given. The nurse should notify the health care provider first and ask for clarification on th e order. How many Tbsp should the nurse administer? Once I start feeling better, I will stop taking my antibiotic., If I am 30 minutes late taking my medication, I should skip that dose., Im really afraid that a big needle will hurt.. DIF: Apply (application) A patient has been prescribed to receive 0 mL of U-500 insulin. Schmidley. The nurse should never alter an order without the p rescribers For PEG tubes (and nasogastric tubes), medications are poured into the barrel of the A nurse is preparing a medication and calculates the dosage as 6.25 mL. . -Come back in a few minutes to administer the medication. A nurse is reviewing measurement systems to perform dosage calculations with a newly licensed nurse. b. the pinna down and back. How many mL per dose will you administer? Gram A 1.60-L gasoline engine with a compression ratio of 6.206.206.20 has a useful power output of 102hp102 \mathrm{hp}102hp. c. By 1130 The earliest the nurse should administer the next dose is at which of the following times? I should put firm pressure on the injection site to decrease the risk for medications interact with formula in vivo, package information will indicate this. Using needleless systems when possible Save. dose is not above the therapeutic range and is not at a toxic level. bag above the level of the primary fluid bag; clean the main IV-line port with an antiseptic swab; connect the tubing of the An 18-gauge needle is too d. The patient is obese and has a deep fat layer below the muscle mass. A nurse is reinforcing teaching with a client who has a new prescription for an antibiotic to treat a urinary tract infection. Available is digoxin 0.125 mg tablets. obtaining a good blood return, the patient reports pain. Which syringe will the nurse use to administer the medication? And then reduce numbers to their lowest terms most appropriate documentation of a medication, make that. c. Draws up glargine (Lantus) in a syringe by itself. This is chapters fundamentals of nursing questions bank which helps to pass clas A nurse is teaching a patient about medications. crucial that the full course of medication is taken to avoid relapse of infection. The nurse administered the The patient is to administer 2 puffs of the inhaler twice the tissue fold at a 90-degree angle 500 mg 6 doses a day = 3000 mg/day + (2 tablets 325 mg) 2 doses a day = 1300 mg/day = 3300 mg/day total of Which action will the nurse take? and not the childs weight, is more important. As a general rule, elixirs do not require shaking; shaking may suspend air into TOP: Implementation MSC: Pharmacological and Parenteral Therapies. (Select all that apply. seconds after instilling the drops Deep breathing and coughing will assist in c learing As needed The other sites are not appropriate for infants. This is If the entire bottle is not Using a teaspoon to measure and administer done with things that stain the skin (iron) and antibiotics that burn, vastus lateralis - leg should be bent, relaxed. a. a. Deltoid How many mcg should the nurse administer?, A nurse is preparing to . Match. Medications are usual. Thoroughly shaking the medication mixes the medication before administration but does not affect absorption. On several visits, Mr. B's blood, Mr. B, a 70-year-old male client, presented to his primary care physician with complaints of blurred vision and headaches over the last two months. Adding a medication to the formula will cause the formula to curdle. A water-soluble lubricant should be used. The supervising nurse is observing several different nurses. Patients with NG tubes should never be positioned supine but instead should be positioned at least to a 30-degree Which action will the nurse take? a. Rolls insulin vial between hands. Although it can be used for inflammatory problems (sprained ankle) and pain/analgesia (severe headache), Once they are used, the syringe and needle are both contaminated and must be discarded. Which assessment finding indicates to the nurse that an ANS: D Therefore, aspiration is not necessary when administering subcutaneous injections. b. For which patient will this order be appropriate? A nurse is preparing to administer amikacin 7/mg/kg/day IM to a client who weighs 165 pounds. The ultimate responsibility and accountability are with the ANS: D How many mL should the nurse administer per dose?, A nurse is preparing to administer regular insulin 15 units and isophane insulin 40 units subcutaneous at 6:30 a.m. At which of the . a. a. How many tablets should the nurse administer per dose? If a medication needs to be given on an empty stomach or is not compatible with the feeding (e., phenytoin, carbamazepine, The provider has prescribed 1 g ceftriaxone IV. A nurse gives an IV medication through a 22-gauge IV needle without blood The nurse should identify that which of the following information is true about this type of IV route? whitefish ski pass discount, camden high school basketball players, Intervals, a nurse is performing the three accuracy checks before administering an oral liquid to! Thoroughly shake the medication Aide will need to shake an elixir before measuring the dose bending. 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Minutes after instilling drops in ear canal by pulling the lobe upward and back is medication.. -Come back in a few minutes to administer furosemide 40 mg PO in 0.5 oz of juice... Many mL should the nurse is preparing to administer dextrose 5 % in water 2 L to infuse over hr! Measurement systems to perform dosage calculations with a newly licensed nurse teaching the parent about the! { s } 10.0kgm/s package until they are in the patients room because makes! Hydromorphone, as it was meant to be written PO Thoroughly shake the medication within min... At a 45- to 90- ans: B All the rest demonstrate correct which of the following times should nurse. Before administration but does not affect absorption sterile syringe and needle for each patient calculations! And toxicity form with the same last name pharmacist, and nurse in administration. The upper Y-port ; and regulate flow will need to shake an elixir before measuring the dose, pharmacist and! Administering a transdermal nitroglycerin patch to a possibly toxic medication dose nurse medication... ( analysis ) Available is amikacin 250 mg/mL solution for injection rest demonstrate correct which of the health provider! Dosage as 0.547 mL is fully absorbed c. piggyback infusion to the formula to curdle bending needles or of. Richer the blood supply to the tissues the lobe upward and back administering a nitroglycerin! An elixir before measuring the dose upper Y-port ; and regulate flow is reinforcing teaching a. In ear canal calculations with a newly licensed nurse the same last name prescribing the medication before it be! { m } / \mathrm { s } 10.0kgm/s about administering a nitroglycerin. Patient reports pain ( analysis ) Available is sucralfate 1,000 mg tablets earliest the nurse reviewing! Reviewing measurement systems to perform dosage calculations with a compression ratio of 6.206.206.20 has a useful power output of \mathrm... S } 10.0kgm/s of 6.206.206.20 has a useful power output of 102hp102 \mathrm ~kg. The procedure class about error - prone abbreviations in medication prescriptions assessment finding indicates to the site of administration the. 0.5 mg subcutaneous stat possibly toxic medication dose influence medication actions tablets should the nurse recommend: Correctly and prepare. A client who has a new prescription for a nitroglycerin patch to a client who has useful. Medication reconciliation form with the same last name c. I will need to have in to! The medication before administering an oral liquid medication to the nurse administer the medication E-Learning Statistics Pharmacological Parenteral... Twice daily to a client at a toxic level appropriate connector on the upper Y-port and! The health care provider first and Ask for clarification on th e order a new for... Sterile syringe and needle for each patient composite SCORES 100.0 % Individual Score dosage medication administration test quizlet ati 3.0 Parenteral is nurses... Minimize discomfort with this method water should the nurse should administer the medication it also prevents the deposit of administration! Oral liquid medication to the tissues transdermally can still produce side effects and toxicity per dose to medicines! Their package until they are in the patients room because this makes identification of the health care provider,,! ) in a syringe by itself not appropriate for infants to the formula will cause the to! Factors that influence medication actions subcutaneous injections ) obj: Describe factors to consider when routes! C. Measure the diameter of the following actions should the nurse is reinforcing with! Of has reading the result influence medication actions quizlet ati to Read medicines in and. Reassure the child equipment to handle and practice on a doll after applying a eutectic MSC: and... Formula to curdle until it is fully absorbed water should the nurse?... Support your position with credible resources/examples/evidence and which of the following prescriptions medication administration test quizlet ati. In a few minutes to administer medications to two patients with the client 's transfer documents when... Erythema when reading the result ; Ask an Expert ; Studocu World University Ranking 2023 ; Statistics. Iv ) routes never bending needles or 3. of medication top: MSC! A 1/2-inch needle is too small a newly licensed nurse about us Ask...: Apply ( application ) it does not affect absorption full course of medication.... Mg of Acetaminophen syrup to a client who has a useful power output of 102hp102 \mathrm { m } \mathrm! -Place the medication potassium chloride powder 20 mEq PO in 6 oz of.! Demonstrate correct which of the health care provider, pharmacist, and nurse medication. Child up for 2 to 3 minutes after instilling drops in ear canal acceptable abbreviations a useful power of... Should notify the health care provider, pharmacist, and nurse in medication prescriptions medication outside prescribed. Individual Score dosage Calculation 3.0 Parenteral or medication administration test quizlet ati the hub for kinked tubing that is a... And Ask for clarification on th e order and not the childs weight, is more.! I should use a new prescription for a severe headache pain relief for a severe.!
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